Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Clinicalimpression-example

Patient Care Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Encounter, Patient, Practitioner

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile ClinicalImpression.

Generated Narrative

Resource "example"

identifier: id: 12345

status: completed

description: This 26 yo male patient is brought into ER by ambulance after being involved in a motor vehicle accident

subject: Patient/example "Peter CHALMERS"

encounter: Encounter/example

effective: 2014-12-06T20:00:00+11:00 --> 2014-12-06T22:33:00+11:00

date: 2014-12-06T22:33:00+11:00

assessor: Practitioner/example "Adam CAREFUL"

problem: : MVA

Investigations

-

Code

Item

*

Initial Examination ()

: deep laceration of the scalp (left temporo-occipital), : decreased level of consciousness, : disoriented to time and place, : restless

summary: provisional diagnoses of laceration of head and traumatic brain injury (TBI)

Findings

-

ItemCodeableConcept

*

850.0 (ICD-9#850.0)

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.